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Visual rehabilitation with scleral contact lenses in patients with irregular astigmatism 不规则散光患者佩戴巩膜接触镜进行视力康复
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.360
Maria Alessandra Cano-Blaires, Guillermo Raúl Vera Duarte, Myriam Blaires Blaires
{"title":"Visual rehabilitation with scleral contact lenses in patients with irregular astigmatism","authors":"Maria Alessandra Cano-Blaires, Guillermo Raúl Vera Duarte, Myriam Blaires Blaires","doi":"10.52379/mcs.v8i2.360","DOIUrl":"https://doi.org/10.52379/mcs.v8i2.360","url":null,"abstract":"\u0000\u0000\u0000\u0000Introduction: Scleral contact lenses (SCLs) are gas-permeable and are placed entirely on the sclera without contacting structures such as the cornea or limbus. These ECLs are designed to rehabilitate reduced vision of eyes with irregular corneas. Irregular astigmatism caused by corneal pathologies such as keratoconus, post-transplant, post-refractive surgery, or corneal degeneration produces poor visual acuity that cannot be corrected with air lenses, and the appearance of scleral contact lenses could be a therapeutic option in the treatment and optical correction of corneal pathologies. To determine the degree of improvement in visual acuity with adaptation of scleral lenses. Methodology: This was an observational, descriptive, retrospective, cross-sectional, retrospective study. Results: Forty cases of irregular astigmatism with different initial visual acuity effects were observed prior to the fitting of Scleral Lenses. The mean visual acuity (VA) prior to correction with scleral lenses observed in the 40 cases was 20/200 with correction on the Snellen scale with a minimum (worst VA) equal to \"finger-count vision\" (represented as cases with 20/ 400 vision for quantification purposes) and a maximum (best VA) of 20/70. Nineteen cases (47.5%) restored their VA to normal values (20/20), and 30 cases (75%) improved their VA by at least 10-fold from the baseline. Discussion: In this study, a remarkable and constant improvement in visual acuity was observed in all the patients. Some patients experienced an increase of up to 20 times their initial visual acuity, achieving, in many cases, a visual acuity of 20/20 on the Snellen scale. These results indicate a promising treatment strategy with fewer adverse effects.\u0000\u0000\u0000\u0000","PeriodicalId":474040,"journal":{"name":"Medicina clínica y social","volume":"49 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative Study of Staphylococcus epidermidis Virulence Profiles in an animal Model of Endophthalmitis 眼底病动物模型中表皮葡萄球菌毒力特征的比较研究
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.420
Margarita Samudio, S. Abente, Vanesa Villalba, Jason Penniecook, Emilio González, Alicia Schinini, Susy Figueredo, Carolina Duré, H. Mino de Kaspar
{"title":"Comparative Study of Staphylococcus epidermidis Virulence Profiles in an animal Model of Endophthalmitis","authors":"Margarita Samudio, S. Abente, Vanesa Villalba, Jason Penniecook, Emilio González, Alicia Schinini, Susy Figueredo, Carolina Duré, H. Mino de Kaspar","doi":"10.52379/mcs.v8i2.420","DOIUrl":"https://doi.org/10.52379/mcs.v8i2.420","url":null,"abstract":"\u0000\u0000\u0000\u0000Introduction: Gram-positive staphylococci are responsible for over 90% of cases of postoperative infectious endophthalmitis, with Staphylococcus epidermidis accounting for approximately 70% of isolated microorganisms. Objective: To evaluate the relationship between S. epidermidis virulence and severity of endophthalmitis in an animal model. Methodology: New Zealand albino rabbits were divided into two groups and administered 100 colony-forming units of S. epidermidis strains. In the virulent group, four rabbits received a multi-antibiotic resistant, mecA, ica, and atlE gene carrying S. epidermidis strain, from a patient´s conjuntival microbiota and three a biofilm-forming S. epidermidis ATCC 35984. In the non-virulent group, five rabbits were inoculated with a strain sensitive to all tested antibiotics and lacking mecA, ica, and atlE genes, also from a patient and three rabbits received the non-producer biofilm S. epidermidis ATCC 29122. Clinical and ultrasound examinations were conducted every three hours until endophthalmitis symptoms appeared, followed by daily clinical assessments. Histological evaluations were performed 15 days post-inoculation. Results: The less virulent group displayed milder inflammation and reduced intraocular damage in comparison to the more virulent group based on clinical and ultrasound observations. Nevertheless, histopathological analysis revealed similar inflammation in all groups, 15 days post-inoculation. Discussion: Less virulent S. epidermidis strains induced less severe inflammation as observed through clinical and ultrasound assessments. However, long-term histopathological assessments showed effects comparable to those seen with the more virulent strain.\u0000\u0000\u0000\u0000","PeriodicalId":474040,"journal":{"name":"Medicina clínica y social","volume":"24 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thyroid cancer in patients undergoing thyroidectomy total in the Otorhinolaryngology Department of the Hospital de Clínicas during the period 2018-2022 2018-2022 年期间在 Clínicas 医院耳鼻喉科接受甲状腺全切除术的甲状腺癌患者人数
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.398
Ricardo Serrano, Carlos Mena-Canata, Raúl Tornaco-Maidana, Marcelo Villalba
{"title":"Thyroid cancer in patients undergoing thyroidectomy total in the Otorhinolaryngology Department of the Hospital de Clínicas during the period 2018-2022","authors":"Ricardo Serrano, Carlos Mena-Canata, Raúl Tornaco-Maidana, Marcelo Villalba","doi":"10.52379/mcs.v8i2.398","DOIUrl":"https://doi.org/10.52379/mcs.v8i2.398","url":null,"abstract":"\u0000\u0000\u0000\u0000Introduction:  Thyroid cancer, considered one of the most frequent malignant tumors of the endocrine system, accounts for 80%–90% of cases. The most common histological type observed in most studies is papillary cancer. Objective: To determine the frequency of thyroid cancer in patients undergoing total thyroidectomy at the Otorhinolaryngology Department of the Hospital de Clínicas between the period 2018-2022. Methodology: This retrospective study included 260 patients treated during the study period. Data were obtained from the patients' medical records, and sociodemographic and clinical variables related to thyroid cancer were analyzed. Data were analyzed with the SPSS v25 program, using descriptive statistics. Results: The frequency of thyroid cancer was 48.1%. The mean age of the cancer patients was 42.10±13.10 years. A higher frequency was observed in females 34.2%, n=89) and among those aged 25-44 years 20.0%, n=52). The most frequent were papillary (36.9%), follicular (2.7%), medullary (1.5%), and anaplastic (1.2%) types. Discussion: The frequency of thyroid cancer is high; it is more common in women and as age increases.\u0000\u0000\u0000\u0000","PeriodicalId":474040,"journal":{"name":"Medicina clínica y social","volume":"89 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140978480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factores asociados a la duración de la lactancia materna en niños menores de 2 años en el Perú 2021-2022 秘鲁两岁以下儿童母乳喂养持续时间的相关因素 2021-2022 年
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.407
Mirella Zorrilla Cabrejo, Rubén Espinoza Rojas
{"title":"Factores asociados a la duración de la lactancia materna en niños menores de 2 años en el Perú 2021-2022","authors":"Mirella Zorrilla Cabrejo, Rubén Espinoza Rojas","doi":"10.52379/mcs.v8i2.407","DOIUrl":"https://doi.org/10.52379/mcs.v8i2.407","url":null,"abstract":"\u0000\u0000\u0000\u0000Introducción: La duración de la lactancia materna es crucial para la salud infantil, sin embargo, la prevalencia ha disminuido en los últimos años, situando a los niños en una población de riesgo. Objetivo: Determinar los factores asociados a la duración de la lactancia materna en niños menores de 2 años en el Perú 2021-2022.\u0000Metodología: Estudio analítico transversal, a través del análisis secundario de datos de la Encuesta Demográfica y de Salud Familiar (ENDES) del año 2021 y 2022. El tamaño muestral fue de 4951 niños/niñas con sus respectivas madres. Se evaluaron factores infantiles y maternos utilizando el Estadístico F corregida para el análisis bivariado con una significancia estadística p<0,05 y un intervalo de confianza al 95%. Finalmente, para medir la asociación se calculó la razón de prevalencia cruda (RPc) y la razón de prevalencia ajustada (RPa) mediante la Regresión de Poisson con varianza robusta. Resultados: El 85,3% tuvo una duración de 0-6 meses y solo el 14,7% tiene una duración hasta los 23 meses. El no contacto piel a piel precoz bebe-madre (p <0,01) (RPa 1,19) y el consumo de bebidas diferentes a la leche materna los primeros 3 días de nacido (p <0,01) (RPa 0,66) se asociaron con una duración hasta los 6 meses de lactancia materna. Las madres adolescentes tuvieron un 30,7% de duración de lactancia materna de 6 meses (p<0,01) (RPa 2,49), por el contrario, el lugar de residencia rural, el grado no superior y un menor ingreso económico permiten una lactancia materna por más de 6 meses. Discusión: Los resultados asocian no recibir contacto piel a piel precoz bebe-madre, edad materna igual o menor de 18 años, grado superior, lugar de residencia urbano y mayor ingreso económico con una menor duración de lactancia materna en niños menores de 2 años.\u0000\u0000\u0000\u0000","PeriodicalId":474040,"journal":{"name":"Medicina clínica y social","volume":"9 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140981689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cholesteatoma of the auditory canal complicated by retroauricular abscess 耳道胆脂瘤并发耳后脓肿
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.415
Ashiria Reseda Acuña Ramírez, Jorge Roig Ocampos, Carlos Mena Canata
{"title":"Cholesteatoma of the auditory canal complicated by retroauricular abscess","authors":"Ashiria Reseda Acuña Ramírez, Jorge Roig Ocampos, Carlos Mena Canata","doi":"10.52379/mcs.v8i2.415","DOIUrl":"https://doi.org/10.52379/mcs.v8i2.415","url":null,"abstract":"\u0000\u0000\u0000\u0000El Colesteatoma del Conducto Auditivo Externo (CCAE) constituye una patología poco frecuente. Su diagnóstico es fundamentalmente clínico, se apoya en los estudios de imagen y confirmación final anatomopatológica. Algunos casos pueden ser asintomáticos y otros casos pueden presentar complicaciones como parálisis facial, afectación del oído medio, etc. Su tratamiento es quirúrgico con una serie de técnicas denominadas canaloplastias, las cuales tienen como objetivo retirar el tejido colesteatomatoso y crear un mecanismo de autoevacuación. Presentamos la descripción de un caso de colesteatoma del conducto auditivo complicado con absceso retroauricular en una paciente joven con estenosis congénita, discutimos los aspectos relevantes respecto a la clínica, diagnósticos diferenciales y opciones terapéuticas en una revisión de la literatura disponible.\u0000\u0000\u0000\u0000","PeriodicalId":474040,"journal":{"name":"Medicina clínica y social","volume":"28 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolution of hematological parameters and death in patients with COVID-19 in a hospital in Paraguay, 2021 2021 年巴拉圭一家医院 COVID-19 患者的血液参数变化和死亡情况
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.405
Lorena Santacruz, Margarita Samudio, Eva Fabiana Mereles Aranda, Arturo Vargas Correa, Daniela Poullion, Gabriela Santacruz, Leticia Ojeda, Doria Fretes, Blanca Villalba
{"title":"Evolution of hematological parameters and death in patients with COVID-19 in a hospital in Paraguay, 2021","authors":"Lorena Santacruz, Margarita Samudio, Eva Fabiana Mereles Aranda, Arturo Vargas Correa, Daniela Poullion, Gabriela Santacruz, Leticia Ojeda, Doria Fretes, Blanca Villalba","doi":"10.52379/mcs.v8i2.405","DOIUrl":"https://doi.org/10.52379/mcs.v8i2.405","url":null,"abstract":"\u0000\u0000\u0000\u0000Introducción: Los parámetros hematológicos proporcionan al equipo médico marcadores pronósticos útiles en la evolución clínica de la enfermedad de COVID-19. El objetivo fue analizar la relación entre la evolución desfavorable de los valores hematológicos y el óbito de los pacientes internados con COVID-19. Metodologia:  El estudio es observacional, correlacional y longitudinal. Se realizó la revisión de fichas clínicas de los pacientes mayores a 18 años internados entre enero y marzo del 2021. Se registró en una planilla Excel el resultado de los parámetros hematológicos al ingreso, a las 48 horas, a los 8 días y al egreso. Los datos fueron analizados con Epi Info 7.1 (CDC, Atlanta) según estadística descriptiva. Resultados: De 144 pacientes, se observaron 68 (47,2%) muertes, con predominio del sexo masculino (63,2%) y, mayores a 60 años (47,1%). Los factores asociados a mortalidad fueron la hipertensión (52,9% vs 31,6%; p=0,009), la diabetes (50% vs 26,3%; p=0,003) y, la obesidad (41,2% vs 25%; p=0,039).  Los parámetros hematológicos desfavorables asociados a la mortalidad se presentaron a partir de los 8 días de internación con leucocitosis (64,1% vs 33,3%; p=0,003), linfopenia (96,8% vs 79%; p=0,008), neutrofilia (98,5% vs 87,7%; p=0,029) y, un elevado índice neutrófilo/linfocito (INL) (96,9% vs 75,4%; p=0,001). Discusión: Los parámetros hematológicos que se asociaron con la mortalidad fueron leucocitosis con neutrofilia, linfopenia e INL elevado. Estos parámetros podrían tener valor pronóstico en el seguimiento para contribuir en el manejo de estos pacientes.\u0000\u0000\u0000\u0000","PeriodicalId":474040,"journal":{"name":"Medicina clínica y social","volume":"6 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140981641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and epidemiologic characterization of non-infectious uveitis in a university hospital in Paraguay 巴拉圭一所大学医院非感染性葡萄膜炎的临床和流行病学特征
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.346
Abel Esteban Figueredo Rojas, G. Vera-Duarte, Claudia Leticia Delgado-Herrera, Martin Fernando Arrúa Caballero, Luis González Sanabria
{"title":"Clinical and epidemiologic characterization of non-infectious uveitis in a university hospital in Paraguay","authors":"Abel Esteban Figueredo Rojas, G. Vera-Duarte, Claudia Leticia Delgado-Herrera, Martin Fernando Arrúa Caballero, Luis González Sanabria","doi":"10.52379/mcs.v8i2.346","DOIUrl":"https://doi.org/10.52379/mcs.v8i2.346","url":null,"abstract":"\u0000\u0000\u0000\u0000Objective: To determine the clinical and epidemiological characteristics of patients with noninfectious uveitis at a university hospital in Paraguay. Methodology: An observational, descriptive, cross-sectional, retrospective study was performed. Consecutive patients who attended the Ophthalmology Service of the Hospital de Clínicas from January 2020 to October 2021 and who were diagnosed with non-infectious uveitis were included. The variables studied were sex, age, origin, reason for consultation, anatomical classification, clinical course, systemic and ocular associations, and bilaterality. Results: A total of 78 medical records of patients meeting the inclusion and exclusion criteria were analyzed. Of the patients, 66.7% were female and 42 (53.8%) were from the Central Department. The anterior anatomical location of uveitis was the most frequent (53.9%), followed in decreasing order by panuveitis, posterior uveitis, and intermediate uveitis. Regarding anterior uveitis, 24 patients (57.1%) had unilateral uveitis, 40 (95.2%) were non-granulomatous, 19 (45.2%) presented an acute clinical course, the most frequent reason for consultation was \"red and painful eye\" with 15 patients (35.7%), the most frequent systemic association was HLA- B27+ in 16 patients (38.1%). As for panuveitis, 13 patients (50%) were associated with Vogt-Koyanagi-Harada syndrome, and of the latter, two patients were related to rheumatoid arthritis. Conclusion: The clinical and epidemiological patterns observed in this study were largely consistent with those reported in the literature. Notably, the most frequent associations differed from those reported in the literature: HLA-B27+ for anterior uveitis, rheumatoid arthritis for posterior uveitis, and a significant percentage of Vogt-Koyanagi-Harada syndrome among panuveitis cases.\u0000\u0000\u0000\u0000","PeriodicalId":474040,"journal":{"name":"Medicina clínica y social","volume":"67 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140979081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fear of monkeypox and intention to vaccinate against monkeypox: a network analysis 对猴痘的恐惧和接种猴痘疫苗的意愿:网络分析
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.403
Tomás Caycho-Rodríguez, J. Ventura-León, C. Carbajal-León, L. W. Vilca, M. Gallegos, Mariel Delgado-Campusano, Martin Noe-Grijalva, Agueda Muñoz-del-Carpio-Toia, Nicol A. Barria-Asenjo, J. Torales, Luis Hualparuca-Olivera, Jesús Ayala-Colqui, M. Reyes-Bossio
{"title":"Fear of monkeypox and intention to vaccinate against monkeypox: a network analysis","authors":"Tomás Caycho-Rodríguez, J. Ventura-León, C. Carbajal-León, L. W. Vilca, M. Gallegos, Mariel Delgado-Campusano, Martin Noe-Grijalva, Agueda Muñoz-del-Carpio-Toia, Nicol A. Barria-Asenjo, J. Torales, Luis Hualparuca-Olivera, Jesús Ayala-Colqui, M. Reyes-Bossio","doi":"10.52379/mcs.v8i2.403","DOIUrl":"https://doi.org/10.52379/mcs.v8i2.403","url":null,"abstract":"\u0000\u0000\u0000\u0000Introduction: The presence of fear of an infectious disease triggers psychological factors associated with perceived behavioral control over vaccination acceptance, subjective norms of vaccination acceptance, attitudes toward vaccination acceptance, and perceived infectiousness from disease. Objective: The study evaluated how symptoms of fear of Monkeypox specifically relate to intention to be vaccinated against Monkeypox in a sample of 506 Peruvian individuals with a mean age of 27.11 years (SD = 9.77). Methods: Participants responded to the Monkeypox Fear Scale (MFS) and a single item of Intention to be vaccinated against Monkeypox. Using network analysis, central fear symptoms and associations between symptoms and intention to vaccinate were identified. Results: The results suggest that the node with the highest centrality was item 5 of the MFS. Regarding the connection between the intention to be vaccinated and the MFS items, a direct relationship was observed with item 1 and an inverse relationship with item 6. In addition, the relationship between these MFS items and intention to vaccinate is higher in men compared to women. While it would be expected that a greater presence of symptoms of fear of Monkeypox could lead people to have a greater intention to be vaccinated against the disease, the results could lead other researchers to generate evidence to explain this relationship in other Latin American countries. Discussion:  The evidence is useful for developing policies that favor vaccination against Monkeypox in Peru and other Latin American countries.\u0000\u0000\u0000\u0000","PeriodicalId":474040,"journal":{"name":"Medicina clínica y social","volume":"37 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140979157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efectividad de la terapia empírica con Cefotaxima y Ceftriaxona en servicios médico-quirúrgicos del hospital “Dr. Benigno Sanchez” de Quillacollo 基亚科洛 "贝尼尼奥-桑切斯医生 "医院内外科使用头孢噻肟和头孢曲松经验疗法的效果。
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.374
Julio César Orozco Crespo
{"title":"Efectividad de la terapia empírica con Cefotaxima y Ceftriaxona en servicios médico-quirúrgicos del hospital “Dr. Benigno Sanchez” de Quillacollo","authors":"Julio César Orozco Crespo","doi":"10.52379/mcs.v8i2.374","DOIUrl":"https://doi.org/10.52379/mcs.v8i2.374","url":null,"abstract":"Introducción. El uso inadecuado de antibióticos contribuye al aumento de la resistencia bacteriana, las cepas resistentes son muy difíciles de tratar con los antibióticos disponibles. Objetivo. Evaluar la efectividad del tratamiento farmacológico empírico con Cefotaxima y Ceftriaxona en servicios clínicos y quirúrgicos del hospital “Dr. Benigno Sánchez” de Quillacollo, durante la gestión 2022. Metodología. Es un estudio observacional de tipo analítico, subtipo casos y controles, longitudinal prospectivo. La población fue pacientes 1395, obteniendo una muestra de 884 pacientes subdividiendo en grupos casos n=741 y controles n=126.  Resultados. En el servicio quirúrgico la frecuencia entre varones y mujeres fue de 45 % y 55 % respectivamente; 73 % del total no presentó enfermedades de base, el 90 % del total tuvo una hospitalización de menos de una semana con 95 % de mejoría sin diferencia significativa entre casos y controles. En el servicio de clínico, 60 % fueron mujeres el resto varones, 50 % del total no presentó enfermedades de base, el 78 % del total tuvo una hospitalización de menos de una semana con 85 % de mejoría sin diferencia significativa entre casos y controles. Discusión. Las características sociodemográficas, el presente estudio identificó que en el servicio quirúrgico a la edad media fue 43 años, de estos 45 % fueron varones y 55 % mujeres, en cambio en el servicio clínico, la edad media fue de 55 años, 60 % mujeres el resto varones. El presente estudio identificó que, en el servicio quirúrgico, el 95 % de los casos cuentan con mejoría, sin que exista una relación entre la terapia empleada o no. En el servicio clínico se apreció un 85 % de mejoría sin que exista diferencia entre los grupos.No existe una diferencia significativa entre los grupos, en los servicios medico quirúrgicos, con respecto a la mejoría.","PeriodicalId":474040,"journal":{"name":"Medicina clínica y social","volume":"46 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140978992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bayesian omega coefficient: applications in health sciences 贝叶斯欧米茄系数:在健康科学中的应用
Medicina clínica y social Pub Date : 2024-05-14 DOI: 10.52379/mcs.v8i2.401
Jonatan Baños-Chaparro, Tomás Caycho-Rodríguez
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